Endometriozis gerçekleri: sezaryen sonrası üç farklı endometriozis odağı

Abstract

Bu olgu sunumunda 8 yıl önce sezaryen ile doğum geçirmiş ve yaşayan bir çocuğu olan, sezaryen doğumundan itibaren giderek artan karın ağrısı şikayeti ile başvuran, ilk sezaryeni sonrasında korunma yöntemi uygulamadığı halde fertilite problemi yaşayan fakat yaşayan bir çocuğu olması sebebiyle infertilite tedavisi görmeyen 27 yaşındaki hasta sunulmuştur. Pfannenstiel kesisinin yaklaşık 3 cm solunda subkutan dokuda, rektus abdominiskasında ve sol overde endometriotik odak bulunan hasta; klinik sunum, manyetik rezonans görüntüleme bulguları, makroskopik ve mikroskopik inceleme bulguları ile analiz edilmiştir. Endometriotik odakların cerrahi eksizyonu ile tedavi tartışılmıştır. Tanı, cerrahi örneğin histopatolojisi ile doğrulanmıştır. Sezaryen skarında ve karında yaygın olarak adet döneminde ağrının şiddetinin arttığı ağrılı lezyon söz konusu olduğunda, hekimlerin, sezaryen doğum geçmişi olan kadınlarda sezaryen skar endometriozunu göz önünde bulundurmaları gerekmektedir.

Keywords

• Endometriozis
• scar yeri endometriozis
• sezaryen endometriozis

Endometriosis facts: three distinct endometriosis foci following cesarean section

Abstract

In this case study, a 27-year-old patient had a cesarean section 8 years ago and has one living child. She presented with progressively increasing abdominal pain that began following the cesarean delivery. Despite not using any contraceptive methods after her initial cesarean section, she experienced fertility issues. However, due to having a living child, she did not receive infertility treatment. Clinical presentation, magnetic resonance imaging, and macroscopic and microscopic examination results were analyzed for the patient who had endometriotic foci in the left ovary, rectus abdominis muscle, and subcutaneous tissue about 3 cm to the left of the Pfannenstiel incision. It is discussed how to treat endometriotic foci by surgically excising them. The surgical specimen's histopathology confirms the diagnosis. In women who have a previously had a cesarean section, doctors should consider cesarean scar endometriosis if there are painful lesions in the abdomen and cesarean scar, along with increased pain during menstruation.

Keywords

• Endometriosis
• scar endometriosis
• caesarean section endometriosis

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